The Association between Anxiety, Physical Exercise, Dietary Pattern, and Physical Fitness among Male Adolescents: A Path Analysis Study


Hayu Andita Satriani1), Dono Indarto2), Yulia Lanti Retno Dewi3)

 

1)Masters Program in Public Health, Universitas Sebelas Maret

2)Department of Physiology, Faculty of Medicine, Universitas Sebelas Maret

3)Department of Nutrition, Faculty of Medicine, Universitas Sebelas Maret

 

ABSTRACT

Background: Obesity in adolescence is crucial as it represents an important stage in human life. The International Obesity Task Force report showed that a total of 155 million children and ado­lescents are overweight and around 30–45 million are classi­fied as obese. Dietary habits are greatly associated with lifestyle. This study aimed to examine the association between anxiety, phy­sical exercise, dietary pattern, and phy­sical fitness among male adolescents.

Subjects and Method: This was a cross-sectional study conducted in three senior high schools, Gondokusuman, Yogyakarta. A sample of 225 male students aged 15 – 18 years was se­lec­­ted by fixed exposure sampling. The dependent variable was physical fitness. The inde­pen­dent variables were body mass index (BMI), anxiety, physical exer­cise, and dietary pattern. Data on sleep quality were measured by Pittsburgh Sleep Quality Index (PSQI) questionnaire. Anxiety was measured by Hamilton Anxiety Rating Scale. Dietary pattern were measured by Frequency Food Questionnaire (FFQ). Physi­cal fitness measured by Cooper run test 12 minutes. The data were analyzed by path analysis run on Stata 13.

Results: Physical fitness was directly increased by good dietary pattern (b= 2.09; 95% CI= 0.51 to 3.68; p= 0.009) but decreased by BMI (b= -3.53; 95% CI= -4.49 to -2.58; p<0.001). Physical fitness was indirectly affected by physical activity, quality of sleep, and anxiety.

Conclusion: Physical fitness is directly increased by good dietary pattern but decre­a­s­ed by BMI. Physical fitness is indirectly affected by physical activity, quality of sleep, and anxiety among adolescents.

Keywords: physical fitness, physical exercise, anxiety, dietary pattern, male adolescents

Correspondence: Hayu Andita Satriani. Masters Program in Public Health, Universitas Sebelas Maret. Jl. Ir. Sutami 36 A, Surakarta, Central Java 57126. Email: hayuandita@gmail.com

DOI: https://doi.org/10.26911/theicph.2019.01.40

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